The purpose of this study was to determine the efficacy of using music and/or sign language to promote early communication in infants and toddlers (6-20 months) and to enhance parent-child interactions. Three groups used for this study were pairs of participants (care-giver(s) and child) assigned to each group: 1) Music Alone 2) Sign Language Alone, and 3) Music and Sign Language. All interventions were play-based. Each group was a 4-week program that met weekly for 45 minutes. Each session was divided into four segments: music and/or signs (book), centers (vestibular, tactile, hands-on activities), music and/or sign review, and goodbye lullaby/activity. Data reported in the results do not support the use of music and/or sign language but trends were discussed in addition to parent's perceptions of participation in the program.